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To: Pages 3 of S 2014 -07 -16 15:03:34 (GMT) 18SS3719080 From: B88:371 -SOSO
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BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $1 0,000.
A $50.00 refundable deposit is being collected for all misc. permits. 1
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construcfion period:
1) Theft of water service by the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
0) Storm Water Management Plan inspection not obtained. (if Required)
If any or all of these situations occur during construction, you may forfeit your l
deposit.
I hereby agree to the above conditions, and understand that should any or
all of the above situations occur, the building permit deposit SHALL be forfeited or
discounted upon the discretion of the City of Blair, Building and Inspections
Department.
Derek Lindsey
Contractor /Owner Contractor /Owner
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City of Blair
07110/14 j
Date
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07/16/2014 10:13AM FAX 4028332704 ELITE EXTERIORS IM0001/0003
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requirements andlc�r, rQatlnc� t res onzibillty to know tho ���� a nd dooumalnt IS on ly
. cads Items, Als�f tt �tat apply to your �rcject. F�loaSe �lnd�r�t�
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d log g od and distrfibut0d to idaY Yo IIIoyyc���r me attho glair public
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have read the above disclosure and aocopt this b uildin g p ct��' ��r this p1�S�ct,
own behalf assu i'rlltlg full responsibility as the cv�tner loont
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- Contractor
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pity of Blair Sato
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218 Soulh 16th Stteot B10, Nebraska 68008 • 402. 426 -4171 • Fox 402-426 « E -mail clfVofblralr@ci,blalr.n(D.U8
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